Assessment of Variability in End-of-Life Care Delivery in Intensive Care Units in the United States | Zendy

Jacqueline M. Kruser | Zendy; David Aaby | Zendy; David G. Stevenson | Zendy; Brenda T. Pun | Zendy; Michele C. Balas | Zendy; Mary Ann BarnesDaly | Zendy; Lori Harmon | Zendy; E. Wesley Ely | Zendy

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Assessment of Variability in End-of-Life Care Delivery in Intensive Care Units in the United States

Author(s) -

Jacqueline M. Kruser,

David Aaby,

David G. Stevenson,

Brenda T. Pun,

Michele C. Balas,

Mary Ann BarnesDaly,

Lori Harmon,

E. Wesley Ely

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.17344

Subject(s) - interquartile range , medicine , intensive care unit , cardiopulmonary resuscitation , end of life care , odds ratio , emergency medicine , intensive care , resuscitation , palliative care , intensive care medicine , nursing

Key Points Question Do intensive care units in the United States provide high-quality end-of-life care? Findings In this cohort study of 1536 decedents within a national quality improvement collaborative, end-of-life care delivery varied widely between intensive care units. There were 3 mutually exclusive unit-level patterns of end-of-life care delivery observed, which suggest meaningful differences in the experience of dying for patients cared for in higher-performing and lower-performing units. Meaning To improve care for all patients who die in an intensive care unit, future research should target unit-level variation and investigate the latent characteristics of high-performing units that promote high-quality end-of-life care.

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